宁夏回族居民生殖健康项目干预效果评价

马薇; 何烨; 马力扬; 马慧; 安利峰; 李志强; 杨秀琳; 马玉霞; 洪苹

doi:10.11847/zgggws2013-29-12-49

宁夏回族居民生殖健康项目干预效果评价

Reproductive health knowledge,attitude and behavior among Ningxia Hui married residents with and without reproductive health promotion project execution

摘要

摘要: 目的了解穆斯林生殖健康促进项目对宁夏回族已婚居民生殖健康相关知识、态度及行为的干预效果，为政府加强少数民族地区生殖健康技术服务体系建设提供依据。方法采用分层整群抽样方法，对中国计划生育协会在宁夏吴忠市利通区（项目县）和同心县（非项目县）抽取293名回族居民和328名非干预回族居民进行生殖健康知识、态度、行为的问卷调查。结果项目县居民对于淋病、尖锐湿疣、非淋菌性尿道炎等常见性病及其传播途径的认知情况明显优于非项目县，差异均有统计学意义（均P<0.05）；项目县回族男性与非项目县回族男性男科健康知识咨询率分别为85.23%和50.35%，观看婚育科教片发生率为88.63%和69.5%，差异均有统计学意义（χ²=28.515，P=0.000；χ²=11.151，P=0.001）；项目县回族妇女和非项目县回族妇女妇科就医意识发生率为92.69%和80.22%，观看婚育科教片发生率为75.12%和61.50%，孕早期补充叶酸发生率为22.93%和9.62%，孕期补充钙元素率为68.32%和43.96%，孕期补充维生素率为34.65%和14.48%，定期产前检查率为92.20%和75.94%，差异均有统计学意义（均P<0.05）。结论穆斯林生殖健康促进项目有利于提高宁夏项目县回族居民生殖健康知识，改善生殖健康相关行为。

Abstract: Objective To evaluate the effects of Muslim Reproductive Health Promotion Project execution on reproductive health knowledge,attitude,and behavior among Ningxia Hui married residents and to provide evidence for government to strengthen the reproductive health technology service system and reform mechanism in minority regions.Methods A questionnaire survey on reproductive health knowledge,attitude and behavior was conducted among 293 Hui residents from project execution county and 328 Hui residents from non-execution county.Results The knowledge on common sex transmitted diseases such as gonorrhea,condyloma acuminate,and non-gonococcal urethritis was significantly higher for the population from project execution county compared to that of population from non-execution county(P<0.05).The reproductive behaviors of the males from project execution county were significantly higher than the males from non-project of execution county and there were significant differences between the two groups with and without project execution in male reproductive health knowledge consulting(85.23% vs 50.35%,χ²=28.515;P=0.000)and watching marriage and reproductive movies(88.63% vs 69.50%,χ²=11.151;P=0.001).The reproductive behaviors of the women from execution county were significantly better than that of women form non-execution county.There were significant differences between the residents with and without project execution in awareness of seeing gynecologist(92.69% vs 80.22%,χ²=13.215;P=0.000),watching marriage and reproductive movies(75.12% vs 61.50%,χ²=8.431;P=0.004),supplement folic acid before or during first trimester pregnancy(22.93% vs 9.62%,χ²=12.351;P=0.000),supplement of calcium(68.32% vs 43.96%,χ²=23.789;P=0.000),supplement multivitamin during pregnancy(34.65% vs 14.48%,χ²=12.889;P=0.000),and attending regular prenatal examination(92.2% vs 75.94%,χ²=19.676;P=0.000).Conclusion The project execution on reproductive health knowledge and attitude could improve reproductive health-related knowledge and behavior among Ningxia Hui residents.

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